Individual
TIERRA L JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1914 FARAWAY DR APT C, COLUMBIA, SC 29223-3850
(803) 944-8174
Mailing address
1914 FARAWAY DR APT C, COLUMBIA, SC 29223-3850
(803) 944-8174
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
12/02/2020
Last updated
12/02/2020
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